| NPI | 1629407481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A110182) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: CA A110182) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |